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The Oncologist, Vol. 12, No. 5, 505-509, May 2007; doi:10.1634/theoncologist.12-5-505
© 2007 AlphaMed Press

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Breast Cancer

An Interpretation of the EBCTCG Data

Jerry P. Lewis

Departments of Medicine and Pathology, School of Medicine, University of California, Davis, California, USA

Key Words. Breast Cancer • Adjuvant therapy • Carryover benefit

Correspondence: Jerry P. Lewis, M.D., 1198 Muirfield Drive, West Chester, Pennsylvania 19382, USA. Telephone: 610-793-3665; e-mail: jerrymarguerite{at}comcast.net

Published data and figures from the Early Breast Cancer Clinical Trialists' Collaborative Group are explored and interpreted as supporting a concept that the prime impact of adjuvant hormonal and polychemotherapy therapy is on soon-to-emerge tumors, with the timing of benefit accrual being mostly limited to the time of drug administration. Nevertheless, once benefit in reducing recurrence occurs, the benefit is maintained for years. Depending on how this is viewed, there may or may not be a carryover effect of these therapies in the setting of adjuvant breast cancer.

Disclosure of potential conflicts of interest is found at the end of this article.




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